Here is a link to Illinois JCAR’s sample declination form of flu vaccine for health care workers. Be advised that the personal religious exemption and the medical vaccine exemption are the most effective.  The U.S. Equal Employment Opportunity Commission (EEOC) is suing hospitals that do not respect the religious rights of their employees.

Mission Hospital Sued By EEOC For Religious Discrimination 4/28/16

Erie hospital to pay, rehire ex-workers who refused flu shots 12/22/2016